1.やさしい
Below about which blood glucose level is hypoglycemia usually defined and treated in a person with diabetes?
- A70 mg/dL (3.9 mmol/L)
- B40 mg/dL (2.2 mmol/L)
- C126 mg/dL (7.0 mmol/L)
- D100 mg/dL (5.6 mmol/L)
2.やさしい
Which statement about HDL cholesterol is correct?
- AHigher levels are the main cause of plaque in the arteries
- BHigher levels are linked to a lower risk of heart disease
- CIt is the same as the fasting triglyceride level
- DIt should ideally be kept below 40 mg/dL (1.0 mmol/L)
3.やさしい
成人の血清マグネシウムの典型的な基準範囲はどれですか?
- A約 6.0–8.0 mEq/L(3.0–4.0 mmol/L)
- B約 3.5–5.0 mEq/L(1.75–2.5 mmol/L)
- C約 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- D約 0.3–0.7 mEq/L(0.15–0.35 mmol/L)
4.ふつう
In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?
- AA sign of new bone cancer
- BA normal rise from placental ALP
- CA sign of acute viral hepatitis
- DA sign of blocked bile ducts
5.ふつう
A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?
- AA rise in serum sodium
- BA rise in serum calcium
- CA fall in blood glucose
- DA fall in serum potassium
6.ふつう
A patient has burning on urination and frequency. The dipstick is positive for nitrites and leukocyte esterase, and a urine culture is ordered. When should the sample be taken?
- AAfter 3 days of antibiotic treatment
- BAfter the symptoms have fully settled
- CBefore the first dose of antibiotic
- DAt any time, as antibiotics do not matter
7.むずかしい
Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?
- AThe low potassium is due to the patient drinking too much water
- BHypokalemia from gastric losses is contributing to paralytic ileus
- CHyperkalemia from tissue damage is causing the bowel to stop
- DThe potassium is normal for the second day after surgery
8.むずかしい
A patient with jaundice and nausea has a positive IgM antibody to hepatitis A virus (IgM anti-HAV). What does this show?
- AImmunity from hepatitis A vaccine long ago
- BChronic hepatitis A lasting many years
- CPast hepatitis B infection that has cleared
- DA current or recent hepatitis A infection
解答
- 1. A · 70 mg/dL (3.9 mmol/L)
- 2. B · Higher levels are linked to a lower risk of heart disease
- 3. C · 約 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- 4. B · A normal rise from placental ALP
- 5. D · A fall in serum potassium
- 6. C · Before the first dose of antibiotic
- 7. B · Hypokalemia from gastric losses is contributing to paralytic ileus
- 8. D · A current or recent hepatitis A infection
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